A integralidade das práticas dos profissionais do Programa Mais Médicos na Atenção Básica: um estudo de caso no município do Rio de Janeiro / The integrality of the practices of the professionals of the Program More Doctors in Basic Care: a case study in the city of Rio de Janeiro
The supply of medical professionals in remote and disadvantaged areas is one of the major barriers to universal access to health care and to the proper development of Family Health teams. The More Doctors Programme (PMM), created in 2013, added 18.000 doctors to the Primary Care of the Unified Health System (SUS), among whom more than 11.000Cubans. The controversies over the participation of foreign doctors in PMM, especially Cubans, involved aspects of the labor market and the scope of practices. Taking intoconsideration that comprehensiveness is a principle of SUS and an essential attribute of the Primary Health Care, this research aims to analyze the comprehensiveness of the professional practice in PMM, in the municipality of Rio de Janeiro. A qualitative study was carried out inthe 3.1 Programme Area of the municipality of Rio de Janeiro, between 2013 and 2016. The comprehensiveness of the professional practiceanalysis was conducted through a matrix composed of two dimensions 1) bio-psychosocial and communityorientation approach; 2) wide and integrated range of health promotion, disease's prevention and care actions. For each dimension, components, categories and indicators were defined. The information sourceswere interviews with participant doctors (24), focus group with supervisors (4), Social HealthOrganization provider reports and national web-portfolio of PMM.